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Laparoscopic Heller Myotomy and Posterior Partial Fundoplication

  • Timothy M. FarrellEmail author
  • Marco Di Corpo
  • Marco G. Patti
Chapter

Abstract

Achalasia is a rare primary esophageal motility disorder that causes mostly progressive dysphagia and regurgitation. The goal of therapy for achalasia is to provide symptom relief by reducing esophageal outflow resistance by disrupting the muscles at the esophagogastric junction (EGJ) to allow emptying by gravity. Although there are several options to achieve this goal, surgical myotomy with partial fundoplication has been shown to be very effective and able to strike a balance between relief of symptoms and control of abnormal GER. Since reflux of gastric contents into the aperistaltic esophagus may cause esophagitis, peptic strictures, Barrett’s esophagus, and even esophageal cancer, the addition of a partial fundoplication is very important. In this chapter, we will discuss the pros and cons of the different types of fundoplication.

Keywords

Achalasia Dysphagia Fundoplication Gastroesophageal reflux Heller myotomy Toupet fundoplication 

Notes

Conflict of Interest

The authors have no conflict of interest to declare.

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Timothy M. Farrell
    • 1
    Email author
  • Marco Di Corpo
    • 1
  • Marco G. Patti
    • 2
  1. 1.Department of SurgeryUniversity of North CarolinaChapel HillUSA
  2. 2.Department of MedicineCenter for Esophageal Diseases and Swallowing, University of North CarolinaChapel HillUSA

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